DR. CHRISTINE LEE JOHNSON M.D. NPI 1104911551

NPI Information

NPI: 1104911551
Provider Name: DR. CHRISTINE LEE JOHNSON, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
8401 DATAPOINT DR
SUITE 500
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 614-0180
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DR. Christine Lee Johnson, M.D. is a pediatric emergency medicine pediatrics in San Antonio, TX. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Christine Lee Johnson, M.D. NPI is 1104911551. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8401 DATAPOINT DR
SUITE 500
SAN ANTONIO, TX
ZIP 78229-900
Phone: (210) 614-0180
Fax: (210) 615-7170

The NPI 1104911551 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 4/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		233020	NEW YORK	No
2	207PP0204X	Emergency Medicine	Pediatric Emergency Medicine	N3764	TEXAS	No
3	2080P0204X	Pediatrics	Pediatric Emergency Medicine	N3764	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	205319101	MEDICAID	TEXAS
2	I23773	MEDICARE UPIN	NEW YORK
3	8L18933	MEDICARE PIN	TEXAS
4	02641349	MEDICAID	NEW YORK
5	8CC677	OTHER	TEXAS	BCBSTX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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